Independent Study Form Submission

Name (required)

Email (required)

Phone Number (required)

Address

City

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RID #

Beginning Date

End Date (Independent Study must be completed within 12 months)

1. What do you want to do?Describe the activity you are proposing. (Ex: I would like to know more about the process of translation from a linguistic point of view. Several books on translation have been recommended. I would like to read them and apply them to my work.)

The purpose of this Independent Study is to:

2. What are my specific goals? Keep your goals measurable, observable, tangible! (Ex: "I will compare the problems and techniques of spoken language interpreters to those I have experienced.")

My specific goals are:

3. How will I show my sponsor what I learned? Describe your evaluation process. (Ex: I will write a 1-2 page report comparing spoken and signed translation work.)

The sponsor will be shown what was learned by:

4. How many CEUs am I proposing and why? Remember, in an educational setting, 10 contact hours = 1 CEU. Non-traditional activities should follow a different ratio. A maximum of 2.0 CEUs can be earned for each project. (Larger projects may be broken into components and each component filed as a separate independent study project earning up to 2.0 CEUs each.)

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